HPV Action Network, European Cancer Organisation, Brussels, Belgium.
HPV Action Network, European Cancer Organisation, Brussels, Belgium.
J Cancer Policy. 2021 Jun;28:100280. doi: 10.1016/j.jcpo.2021.100280. Epub 2021 Mar 18.
The 690,000 cases of cancer caused worldwide each year by HPV (human papillomavirus) are among the easiest of all cancers to prevent. However, the actions so far taken in terms of both policy and practice by health systems in many European states have neither matched the scale of the problem nor seized the opportunities for disease prevention potentially offered by vaccination and screening. Treatments for HPV-caused cancers are also inequitably provided across the region and widespread misinformation about HPV undermines efforts to improve public health. The European Cancer Organisation's HPV Action Network has made the case for action for the elimination of all the cancers caused by HPV through gender-neutral vaccination, effective cervical cancer screening, better quality treatments, and public and professional education across Europe. The World Health Organisation's new global strategy for the elimination of cervical cancer (launched in November 2020), together with Europe's Beating Cancer Plan (February 2021), together provide a major opportunity to tackle decisively all the cancers caused by HPV. The Beating Cancer Plan, which was significantly influenced by evidence provided by the HPV Action Network, commits to supporting EU member states' efforts to extend routine vaccination of girls and boys and to creating a new EU-supported Cancer Screening Scheme to help Member States ensure that 90% of the EU population who qualify for cervical cancer screening are offered it by 2025. The goal of HPV cancer elimination is now both possible and achievable. The challenge is to ensure implementation and delivery by EU member states and more widely across the European region.
每年全球有 69 万例由 HPV（人乳头瘤病毒）引起的癌症病例，这是所有癌症中最容易预防的癌症之一。然而，许多欧洲国家的卫生系统在政策和实践方面采取的行动既没有与问题的规模相匹配，也没有抓住疫苗接种和筛查可能带来的疾病预防机会。该地区各地对 HPV 引起的癌症的治疗也不平等，并且对 HPV 的广泛误解破坏了改善公共卫生的努力。欧洲癌症组织的 HPV 行动网络呼吁采取行动，通过对所有性别进行中性疫苗接种、有效的宫颈癌筛查、更好的治疗质量以及在整个欧洲进行公共和专业教育，消除所有由 HPV 引起的癌症。世界卫生组织新的全球消除宫颈癌战略（2020 年 11 月启动），以及欧洲的战胜癌症计划（2021 年 2 月），共同为果断解决所有由 HPV 引起的癌症提供了一个重大机会。《战胜癌症计划》在很大程度上受到 HPV 行动网络提供的证据的影响，该计划承诺支持欧盟成员国努力扩大女孩和男孩的常规疫苗接种，并创建一个新的欧盟支持的癌症筛查计划，以帮助成员国确保到 2025 年，有资格接受宫颈癌筛查的欧盟 90%的人口都能接受筛查。消除 HPV 癌症的目标现在是既可能又可实现的。挑战在于确保欧盟成员国和更广泛的欧洲地区的实施和交付。
